Restylane Has Stayed Permanently in Tear Trough For Years, Why?

I had a filler injected in my tear trough and it looked just wonderful. After 18 months it popped out like a shape of a worm. My doctor said he put Restalyn and its not suppose to last 18 months, so he injected it with cortisone. He said it would take a month to melt it, after 3 months I went back and back again. He injected that material for 4 times in the past year and nothing changed. The worm under my eye is still bulging out and orange yellow in color. What to do?

Doctor Answers 7

Restylane Shouldn't Last That Long

It’s very strange that the Restylane has lasted this long, if it is indeed that. I’m also surprised that your injector used cortisone to try to dissolve the product, since it’s really hyaluronidase that should be used. You may want to visit another experience board certified plastic surgeon for a second opinion on your aesthetic issue. I doubt that it’s Restylane and is probably something else.

Toronto Plastic Surgeon
5.0 out of 5 stars 66 reviews

How long Restylane will last

I will say that it is highly unusual that Restylane has lasted that long in you. I will also say that cortisone will not dissolve Restylane. Short of it not being real Restylane and them using something else, I cannot say why you still have it. If it is true hyaluronic acid, then hyaluronidase will dissolve it, even at this point.

Julio Garcia, MD
Las Vegas Plastic Surgeon
4.8 out of 5 stars 27 reviews

Lower eyelid problem after restylane

It is difficult to tell without photo and examination.  It may not be Restylane.  If it is, it should be dissoved by hyaluronidase.  Consult with an oculoplastic surgeon.  (I'm going to Dubai in February, and I can arrange to see there if you like. Let me know if interested.)

Mehryar (Ray) Taban, MD, FACS
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 72 reviews

Restylane and injection

Restylane can be dissolved with hyaluronidase. Some injectors inject silicon and sometimes inject steroids for inflammation that arise from it. 

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Restylane Under Eyes

Restylane can be easily dissolved with hyaluronidase.  I don't know why your doctor would use a cortisone injection for this purpose.  I think you need to consult another physician who does a lot of filler injections.  The reaction you are describing sounds very unusual if you indeed had Restylane injected.

Michael McCracken, MD
Lone Tree Oculoplastic Surgeon
5.0 out of 5 stars 12 reviews

I very much doubt Restylane was used

First, Restylane is translucent. It has no color. Second, the fact that you said it popped out like the shape of a worm leads me to believe there is no way that Restylane was injected. Restylane slowly dissolves over time, it does not form into shapes. It can last a year or more in some areas, and on some people, so that part is not uncommon; however, everything else you described is inconsistent with Restylane. Finally, cortisone is an anti-inflammatory steroid. It doesn't dissolve Restylane - hyaluronidase does. I suggest you see another physician. I don't think you received Restylane the first time around and now the injections being done are not the right solution.

F. Victor Rueckl, MD
Las Vegas Dermatologist
4.6 out of 5 stars 17 reviews

Restylane in tear troughs

If a hyaluronic acid (such as Restylane) was used, it can easily be dissolved using Vitrase.  It is difficult without seeing your photos, but as Dr. Rueckl mentioned, it would be highly unusual for the restylane to become more evident over time.  I recommend consulting with another physician to determine your next course of action.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
4.3 out of 5 stars 6 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.